Characterization of patients with chronic obstructive pulmonary diseases at the Intensive Care Unit

Introduction: COPD is characterized by limitation of the airflow, progressive, partially reversible and associated to an abnormal inflammatory responsive of the lungs. Objective: To characterize patients with COPD admitted at the Intensive Care Unit. Methods: A descriptive, retrospective study was c...

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Autores principales:	Alberto García Gómez, Narciso Ramírez Cruz, Yaqueline Agüero Carbonell, Alexis Hernández Torres, Yusel Massó Vicet, Yamilka Martínez Llano
Formato:	article
Lenguaje:	ES
Publicado:	ECIMED 2021
Materias:	enfermedad pulmonar obstructiva crónica unidad de cuidados intensivos mortalidad. Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/30e793adb74a4f11aacc7d9b2ae6b7a0
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spelling	oai:doaj.org-article:30e793adb74a4f11aacc7d9b2ae6b7a02021-11-30T13:31:08ZCharacterization of patients with chronic obstructive pulmonary diseases at the Intensive Care Unit1561-3046https://doaj.org/article/30e793adb74a4f11aacc7d9b2ae6b7a02021-10-01T00:00:00Zhttp://www.revmedmilitar.sld.cu/index.php/mil/article/view/1407https://doaj.org/toc/1561-3046Introduction: COPD is characterized by limitation of the airflow, progressive, partially reversible and associated to an abnormal inflammatory responsive of the lungs. Objective: To characterize patients with COPD admitted at the Intensive Care Unit. Methods: A descriptive, retrospective study was carried out in a series of 347 patients with chronic obstructive pulmonary disease admitted to intensive care. The variables age, sex, cause of admission, discharge status, APACHE II scale value at admission, invasive mechanical ventilation, tracheostomy, and direct cause of death according to autopsies performed were studied. Absolute and relative frequency distributions, measures of central tendency, and for comparison, the chi-square and Student's t tests were calculated, with a significance level of 5%. Results: The mean age was of 72,1 ± 8,2 years. The female sex (52.7%) and the age group of 60-79 years (67.1%) predominated. The female / male sex ratio was 1.1: 1.0. 64.8% of the patients were discharged dead. There were significant differences between the mean age of the deceased and the living (p = 0.001). The cause of clinical admission had the highest number of admissions (86.7%). The mean APACHE II value was higher in the deceased (21.0 vs. 15.2). 81.3% of the patients received mechanical ventilation, and 17.3% underwent a tracheostomy. The main cause of death was bacterial bronchopneumonia (67.2%). Conclusions: Patients with chronic obstructive pulmonary disease admitted to the intensive care unit have high mortality and it is associated with three main direct causes of death: bacterial bronchopneumonia, pulmonary thromboembolism and septic shock.Alberto García GómezNarciso Ramírez CruzYaqueline Agüero CarbonellAlexis Hernández TorresYusel Massó VicetYamilka Martínez LlanoECIMEDarticleenfermedad pulmonar obstructiva crónicaunidad de cuidados intensivosmortalidad.MedicineRMedicine (General)R5-920ESRevista Cubana de Medicina Militar, Vol 50, Iss 4, Pp e02101407-e02101407 (2021)
institution	DOAJ
collection	DOAJ
language	ES
topic	enfermedad pulmonar obstructiva crónica unidad de cuidados intensivos mortalidad. Medicine R Medicine (General) R5-920
spellingShingle	enfermedad pulmonar obstructiva crónica unidad de cuidados intensivos mortalidad. Medicine R Medicine (General) R5-920 Alberto García Gómez Narciso Ramírez Cruz Yaqueline Agüero Carbonell Alexis Hernández Torres Yusel Massó Vicet Yamilka Martínez Llano Characterization of patients with chronic obstructive pulmonary diseases at the Intensive Care Unit
description	Introduction: COPD is characterized by limitation of the airflow, progressive, partially reversible and associated to an abnormal inflammatory responsive of the lungs. Objective: To characterize patients with COPD admitted at the Intensive Care Unit. Methods: A descriptive, retrospective study was carried out in a series of 347 patients with chronic obstructive pulmonary disease admitted to intensive care. The variables age, sex, cause of admission, discharge status, APACHE II scale value at admission, invasive mechanical ventilation, tracheostomy, and direct cause of death according to autopsies performed were studied. Absolute and relative frequency distributions, measures of central tendency, and for comparison, the chi-square and Student's t tests were calculated, with a significance level of 5%. Results: The mean age was of 72,1 ± 8,2 years. The female sex (52.7%) and the age group of 60-79 years (67.1%) predominated. The female / male sex ratio was 1.1: 1.0. 64.8% of the patients were discharged dead. There were significant differences between the mean age of the deceased and the living (p = 0.001). The cause of clinical admission had the highest number of admissions (86.7%). The mean APACHE II value was higher in the deceased (21.0 vs. 15.2). 81.3% of the patients received mechanical ventilation, and 17.3% underwent a tracheostomy. The main cause of death was bacterial bronchopneumonia (67.2%). Conclusions: Patients with chronic obstructive pulmonary disease admitted to the intensive care unit have high mortality and it is associated with three main direct causes of death: bacterial bronchopneumonia, pulmonary thromboembolism and septic shock.
format	article
author	Alberto García Gómez Narciso Ramírez Cruz Yaqueline Agüero Carbonell Alexis Hernández Torres Yusel Massó Vicet Yamilka Martínez Llano
author_facet	Alberto García Gómez Narciso Ramírez Cruz Yaqueline Agüero Carbonell Alexis Hernández Torres Yusel Massó Vicet Yamilka Martínez Llano
author_sort	Alberto García Gómez
title	Characterization of patients with chronic obstructive pulmonary diseases at the Intensive Care Unit
title_short	Characterization of patients with chronic obstructive pulmonary diseases at the Intensive Care Unit
title_full	Characterization of patients with chronic obstructive pulmonary diseases at the Intensive Care Unit
title_fullStr	Characterization of patients with chronic obstructive pulmonary diseases at the Intensive Care Unit
title_full_unstemmed	Characterization of patients with chronic obstructive pulmonary diseases at the Intensive Care Unit
title_sort	characterization of patients with chronic obstructive pulmonary diseases at the intensive care unit
publisher	ECIMED
publishDate	2021
url	https://doaj.org/article/30e793adb74a4f11aacc7d9b2ae6b7a0
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Characterization of patients with chronic obstructive pulmonary diseases at the Intensive Care Unit

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